Individual
MOUMITA RAYCHOUDHURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N.HURSTBOURNE PARKWAY, SUITE 200 PARAGON REHABILITATION, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
526 OAK GLEN DR, G, WARSAW, IN 46580-3257
(716) 262-5844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011586A
IN
225100000X
Physical Therapist
5501016901
MI
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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